Attention-deficit/hyperactivity disorder (ADHD) presents in childhood with inattention, hyperactivity, and impulsivity and is associated with functional impairments. These children tend to display a variety of disruptive behaviors, which may worsen in adolescence. Teens with ADHD may show high levels of defiance, posing significant challenges for parents. Early efforts to understand parenting in the context of teen ADHD reveal high levels of parental stress and reactivity in response to the teen’s ADHD symptoms. Subsequent research recognized that some of these parents have ADHD or other psychopathology that may contribute to maladaptive parenting. However, some parents adjust and demonstrate optimism and resilience in the face of their teens’ ADHD. Recent research has identified parental factors (eg, emotional intelligence) and interventions (eg, mindfulness training) that may improve parenting/teen relationships and the developmental outcomes of teens. This article explores parenting teens with ADHD with a focus on these novel interventions.
AguiarAEubigPASchantzSL. Attention-deficit/hyperactivity disorder: a focused overview for children’s environmental health researches. Environ Health Perspect. 2010;118:1646-1653.
2.
GarnerAAO’ConnorBCNaradMETammLSimonJEpsteinJN. The relationship between ADHD symptom dimensions, clinical correlates, and functional impairments. J Dev Behav Pediatr. 2013;34:469-477.
3.
MolinaBSPelhamWECheongJMarshalMPGnagyEMCurranPJ. Childhood attention-deficit/hyperactivity disorder (ADHD) and growth in adolescent alcohol use: the roles of functional impairments, ADHD and symptom persistence, and parental knowledge. J Abnorm Psychol. 2012;121:922-935.
4.
WilliamsonPKoro-LjungbergMEBussingR. Analysis of critical incidents and shifting perspectives: transitions in illness careers among adolescents with ADHD. Qual Health Res. 2009;19:352-365.
5.
ScheiJJozefiakTNovikTSLydersenSIndredavikMS. The impact of coexisting emotional and conduct problems on family functioning and quality of life among adolescents with ADHD [published online October18, 2013]. J Atten Disord. doi:10.1177/1087054713507976.
6.
MillerMHoJHinshawSP. Executive functions in girls with ADHD followed prospectively into young adulthood. Neuropsychology. 2012;26:278-287.
7.
Modesto-LoweVDanforthJSNeeringCEastonC. Can we prevent smoking in children with ADHD: a review of the literature. Conn Med. 2010;74:229-236.
8.
MolinaBSPelhamWE. Childhood predictors of adolescent substance use in a longitudinal study of children with ADHD. J Abnorm Psychol. 2003;112:497-507.
9.
OwensEBHinshawSPLeeSSLaheyBB. Few girls with childhood attention-deficit/hyperactivity disorder show positive adjustment during adolescence. J Clin Child Adolesc Psychol. 2009;38:132-143.
10.
MolinaBSHinshawSPArnoldLE. Adolescent substance use in the Multimodal Treatment Study of Attention-Deficit/Hyperactivity Disorder (ADHD) (MTA) as a function of childhood ADHD, random assignment to childhood treatments, and subsequent medication. J Am Acad Child Adolesc Psychiatry. 2013;52:250-263.
11.
ZeinaliASharifiHEnayatiMAsgariPPashaG. The mediational pathway among parenting styles, attachment styles and self-regulation with addiction susceptibility of adolescents. J Res Med Sci. 2011;16:1105-1021.
12.
BaumrindD. Current patterns of parental authority. Dev Psychol Monogr. 1971;4:1-103.
13.
Modesto-LoweVDanforthJSBrooksD. ADHD: does parenting style matter?Clin Pediat. 2008;47:865-872.
14.
DeaultLC. A systematic review of parenting in relation to the development of comorbidities and functional impairments in children with attention-deficit/hyperactivity disorder (ADHD). Child Psychiatry Hum Dev. 2010;41:168-192.
15.
EdwardsGBarkleyRALaneriMFletcherKMeteviaL. Parent-adolescent conflict in teenagers with ADHD and ODD. J Abnorm Child Psychol. 2001;29:557-572.
16.
FletcherKEFischerMBarkleyRASmallishL. A sequential analysis of the mother-adolescent interactions of ADHD/ODD, and normal teenagers during neutral and conflict discussions. J Abnorm Child Psychol. 1996:24:271-297.
17.
Finzi-DottanRTriwitzYSGolubchikP. Predictors of stress-related growth in parents of children with ADHD. Res Dev Disabil. 2011;32:510-519.
18.
Modesto-LoweVYeluninaLHanjanK. Attention-deficit/hyperactivity disorder: A shift toward resilience. Clin Pediatr. 2011;50:518-524.
19.
WaltherCACheongJMolinaBS. Substance use and delinquency among adolescents with childhood ADHD: the protective role of parenting. Psychol Addict Behav. 2012;26:585-598.
20.
BarkleyRAAnastopoulosADGuevremontDCFletcherKE. Adolescents with attention deficit hyperactivity disorder: mother-adolescent interactions, family beliefs and conflicts, and maternal psychopathology. J Abnorm Child Psychol. 1992;20:263-288.
21.
PerisTSHinshawSP. Family dynamics and preadolescent girls with ADHD: the relationship between expressed emotion, ADHD symptomatology, and comorbid disruptive behavior. J Child Psychol Psychiatry. 2003;44:1177-1190.
22.
ChangLRChiuYNWuYYGauSS. Father’s parenting and father-child relationship among children and adolescents with attention deficit/hyperactivity disorder. Compr Psychiatry. 2013;54:128-140.
23.
GauSSChangJP. Maternal parenting styles and mother-child relationship among adolescents with and without persistent attention-deficit/hyperactivity disorder. Res Dev Disabil. 2013;34:1581-1594.
24.
ChronisAMLaheyBBPelhamWEJrKippHLBaumannBLLeeSS. Psychopathology and substance abuse in patients of young children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2003;42:1424-1432.
25.
ChronisAMLaheyBBPelhamWEJr. Maternal depression and early positive parenting predict future conduct problems in young children with attention-deficit/hyperactivity disorder. Dev Psychol. 2007;43:70-82.
26.
Chronis-TuscanoAClarkeTO’BrienK. Development and preliminary evaluation of an integrated treatment targeting parenting and depressive symptoms in mothers of children with attention-deficit/hyperactivity disorder. J Consult Clin Psychol. 2013;81:918-925.
27.
ChiTCHinshawSP. Mother-child relationships of children with ADHD: the role of maternal depressive symptoms and depression-related distortions. J Abnorm Child Psychol. 2002;4:387-400.
28.
Chronis-TuscanoARaggiVLClarkeTL. Associations between maternal attention-deficit disorder symptoms and parenting. J Abnorm Child Psychol. 2008;36:1237-1250.
29.
ArnoldEHO’LearySGEdwardsGH. Father involvement and self-reported parenting of children with attention deficit-hyperactivity disorder. J Consult Clin Psychol. 1997;65:337-342.
30.
BiedermanJFaraoneSVSpencerTJMickEMonuteauxMCAleardiM. Functional impairments in adults with self-reports of diagnosed ADHD: a controlled study of 1001 adults in the community. J Clin Psychiatry. 2006;67:524-540.
31.
HodgkinsPShawMCoghillDHechtmanL. Amfetamine and methylphenidate medications for attention deficit/hyperactivity disorder: complementary treatment options. Eur Chil Adolesc Psychiatry. 2012;21;477-492.
32.
BarkleyRACunninghamCE. The effects of methylphenidate on the mother-child interactions of hyperactive children. Arch Gen Psychiatry. 1979;36:201-208.
33.
BarkleyRA. Hyperactive girls and boys: stimulant drug effects on mother-child interactions. J Child Psychol Psychiatry. 1989;30:379-390.
34.
Modesto-LoweVChaplinMSoovajianVMeyerA. Are motivation deficits underestimated in patients with ADHD? A review of the literature. Postgrad Med. 2013;125:47-52.
35.
GauSSShenHYChouMCTangCSChiuYNGauCS. Determinants of adherence to methylphenidate and the impact of poor adherence on maternal and family measures. J Child Adolesc Pyschopharmacol. 2006;16:286-297.
36.
Chronis-TuscanoASteinMA. Pharmacotherapy for parents with attention-deficit/hyperactivity disorder (ADHD): impact on maternal ADHD and parenting. CNS Drugs. 2012;26:725-732.
37.
Chronis-TuscanoASeymourKESteinMA. Efficacy of osmotic-release oral system (OROS) methylphenidate for mothers with attention-deficit/hyperactivity disorder (ADHD): preliminary report of effects on ADHD symptoms and parenting. J Clin Psychiatry. 2008;69:1938-1947.
38.
KimJWParkSKimBN. Parental perceived benefits of OROS-methylphenidate treatment for the child with attention-deficit/hyperactivity disorder and for parents themselves. Pharmacopsychiatry. 2013;46:137-146.
MolinaBSFloryKHinshawSP. Delinquent behavior and emerging substance use in the MTA at 36 months: prevalence, course, and treatment effects. J Am Acad Child Adolesc Psychiatry. 2007;46:1028-1040.
41.
BarkleyRAGuevremontDCAnastopoulasADFletcherKE. A comparison of three family therapy programs for treating family conflicts in adolescents with attention-deficit hyperactivity disorder. J Consult Clin Psychol. 1992;60:450-462.
42.
BarkleyRAEdwardsGLaneriM. The efficacy of problem-solving communication training alone, behavior management training alone, and their combination for parent-adolescent conflict in teenagers with ADHD and ODD. J Consult Clin Psychol. 2001;69:926-941.
43.
MastenASTellegenA. Resilience in developmental psychopathology: contributions of the Project Competence Longitudinal Study. Dev Psychopathol. 2012;24:345-361.
44.
JosephSLinleyPA. Growth following adversity: theoretical perspectives and implications for clinical practice. Clin Psychol Rev. 2006:26;1041-1053.
45.
Finzi-DottanRTriwitzYSGolubchikP. Predictors of stress-related growth in parents of children with ADHD. Res Dev Disabil. 2011:32;510-519.
46.
SegalES. Learned mothering: raising a child with ADHD. Child Adolesc Soc Work J. 2001;17:263-279.
47.
FarbNAAndersonAKSegalZV. The mindful brain and emotion regulation in mood disorders. Can J Psychiatry. 2012;57:70-77.
48.
BögelsSMLehtonenARestifoK. Mindful parenting in mental health care. Mindfulness (NY). 2010;1:107-120.
49.
BögelsSMHoogstadDDunL. Mindfulness training for adolescents with externalizing disorders and their parents. Behav Cogn Psychother. 2008;36:193-209.
50.
DuncanLGCoatsworthJDGreenbergMT. Pilot study to gauge acceptability of a mindfulness-based, family-focused preventive intervention. J Prim Prev. 2009;30:605-618.
51.
Van de Weijer-BergsmaEFormsmaARde BruinEIBögelsSM. The effectiveness of mindfulness training on behavioral problems and attentional functioning in adolescents. J Child Fam Stud. 2012;21:775-787.
